Download 2015-06-05 KEES Implementation Instructions

When an application ‘falls out’, downstream tasks may also be needed. In most instances,
these downstream tasks are created automatically based on information entered when the
task is completed.
B. Sticky Workers
The sticky worker concept is specific to the Clearinghouse. A worker that claims or is
assigned a task within the ‘Eligibility’ queue is designated the ‘sticky’ worker for the case.
Any subsequent task that is generated for the case that normally would be routed to the
“Eligibility” queue will be assigned to the specific worker instead, until the ‘sticky period’ is
over or the worker has released all eligibility tasks. After 45 days or if the worker releases
all eligibility tasks the ‘sticky worker’ record will be end dated and the worker will no longer
be sticky. Any new eligibility tasks that are created for a case that does NOT have an active
sticky worker should appear as new tasks in the eligibility queue to be claimed.
C. Shared Information
If there are two identical tasks created from the initiation of a workflow, the first person to
claim the task (KDHE or DCF) will complete the data reconciliation and determine which
data to accept/reject. The worker must include details about this information in the journal
entry so it may be available to the worker claiming the other task. The second person will
then need to review the journal entry to see what changes were made to the case.
Additionally, it is also important to note that there is NO security around tasks or queues for
Phase 2. Workers should be cautious not to inadvertently complete a task that they think is
a duplicate and/or “bogus” task without first researching the task to verify if it is in fact for
the other agency. Refer to DCF and KDHE Task job aids for more information.
3. Verification
Verification rules and processes for medical assistance are used to substantiate an individual’s
attestation, or statement, of information relevant to the determination. The Affordable Care
Act implemented specific provisions that require the use of electronic data matches with
trusted third party sources to verify information. Paper verification from an applicant/recipient
can only be requested after evaluation of the interfaces and other available information has
failed to properly verify the attestation. A Tiered Verification process is used for verification in
the medical programs.
The initial phase of the required verification process, for the MAGI programs, was implemented
January 1, 2014. This implements the second phase of the process by implementing Tiered
Verification for all verification items. It is also being implemented for the Non-MAGI programs.
This memo also implements new policies for verification of income in the MAGI programs.
A. Tiered verification
The Verification Tier approach is used to verify eligibility elements. The tiers are designed
to verify reported information to the full extent possible before contacting the
applicant/recipient for paper verification. There are four verification tiers. A hierarchical
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